3 research outputs found
An evaluation of 605 endoscopic examination in a rural setting, Lacor Hospital in Northern Uganda
Introduction: The aim of this study was to evaluate the profile of esophagogastroduodenal
(EGDS) diseases diagnosed by upper endoscopy in a rural area of Uganda in a retro-protective
study of 605 patients.
Results: The mean age of patients with digestive symptoms was 39.7yrs (SD +/-16.11) and female
gender predominated by 60% compared to the male (P value 0.000). Peasant farmers were the
commonest group with GI symptoms requiring EGDS compared to the rest 72.1% v 27.9%.
Epigastric pain was the commonest indication (58%) for EGDS, followed by chest pain (11%),
abdominal pain (8.8%), dyspahgia (7.6%) and hematemesis (7.3%). The commonest endoscopy
finding was gastritis (47.9%) followed by esophagitis (14.4%), cancer esophagus (5.1%),
esophageal varicose (4%), PUD (2.3%), gastric cancer (1%). However 19.5% of patients had
normal EGDS. There was a significant correlation between the outpatient diagnosis and
endoscopy finding (P value 0.01, r = 0.144) and between endoscopy finding and histology findings
(P value 0.001, r = 0.236). H. pylori was positive in 53% of patients with gastritis.
Conclusion: Gastritis is the commonest lesion (47.9%) of which 53% have H pylori and Cance